UC Irvine Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health - eScholarship
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
UC Irvine
Western Journal of Emergency Medicine: Integrating Emergency
Care with Population Health
Title
Does QBank Participation Impact In-training Exam Performance?
Permalink
https://escholarship.org/uc/item/0zk8b7dk
Journal
Western Journal of Emergency Medicine: Integrating Emergency Care with Population
Health, 23(1.1)
ISSN
1936-900X
Authors
Walter, Lauren
Thompson, Maxwell
Delaney, Matthew
et al.
Publication Date
2022
Copyright Information
Copyright 2022 by the author(s).This work is made available under the terms of a Creative
Commons Attribution License, available at https://creativecommons.org/licenses/by/4.0/
eScholarship.org Powered by the California Digital Library
University of California
CORD Abstracts Issue 2021
19
to implementation. Survey availability was advertised to Do 4th Year Medical Students Applying to
all residents at a three-site urban academic Emergency Emergency Medicine Match Where They
Medicine program and was implemented at one site. A Rotate?
postgraduate year 2 or 3 resident was asked to lead survey
completion with members of ED staff each morning and Diana Labrada; Wesley Barnett, MD; Sameer Desai, MD
evening shift. Once complete, an automated email initiated
a restocking mechanism. Data was collected over 12 weeks, Learning Objectives: To identify if 4th year medical
encompassing 3 academic blocks (each with new resident students applying to emergency medicine are more likely
staffing), and analyzed retrospectively. to match at a program where they rotated to identify factors
Results: The Control Block and Block 1 display similar influencing an applicant’s program rank list order
equipment readiness, with a large number of items “Not Background: An impactful portion of applying to an
Checked” in Block 1. Block 2 showed a marked improvement emergency medicine (EM) residency is participating in away
in percentage of equipment ready, which was maintained in rotations to obtain Standard Letters of Evaluations (SLOEs) to
Block 3. There was a ~21.47% response rate for surveys. gain residency interviews to participate in the NRMP Match.
Completion during night shifts was lower compared to Objectives: To identify if fourth year medical students
days. Postgraduate year status did not play a major role in going into EM are more likely to match where they rotated.
completion rates. Staff transitions did not result in consistent Since away rotations allow applicants to evaluate a program
response trends. in person, we hypothesize most students match at a program
Conclusions: Implementation of a resident-led critical where they rotated.
care supply checklist completed by an interdisciplinary team Methods: This is a retrospective observational survey. The
improved equipment readiness across postgraduate years survey was sent to EM residents in ACGME approved programs
and staffing/block transitions. Working a night shift was via the Council of Program Directors listserv sent by the EM
identified as a barrier to completion, while postgraduate year Program Director of the University of Kentucky. Two hundred
was not. Identification of other survey completion barriers and thirty-nine responses from 12/06/2019-02/10/2020 were
and survey impact on resident equipment familiarity requires received. Inclusion criteria included being a current EM resident
further investigation. at an ACGME approved program. Exclusion criteria included
an incomplete survey or not completing away rotations.
Results: Of 235 applicants, 106 applicants did 3 months of
Emergency Medicine during their 4th year curriculum. Out of
226 applicants who ranked their away rotations, 73% ranked one
of their away rotations in their top 3. Notably, 9/235 of applicants
who rotated did not rank their away rotation, while 136/235
agreed that lack of a rotation at an institution would have affected
their decision to rank a program. The top two factors affecting a
programs’ rank included fit (n=99) followed by location (n=80).
Figure 1. Total survey responses complete by week: displays Finally, 121 (51.5%) students matched to a place they rotated.
total number of critical care equipment check surveys completed
Conclusions: Although 51.5% of students ultimately
by residents by each week. Curves are broken down by post
graduate year 2/3 and AM vs PM shifts. matched to a program they rotated, 48.5% did not. Fit and
location continue to be the leading factors affecting rank list
order. Limitations to this study were inability to separate students
who did not initially match upon graduating medical school,
inability to account for students who did not have a home
program, and including a home rotation as an away rotation.
20 Does QBank Participation Impact In-
training Exam Performance?
Lauren Walter; Maxwell Thompson, MD; Matthew
Delaney, MD; Charles Khoury, MD
Figure 2. Percent of all required critical care equipment ready by
academic block: displays the percent response of “Yes”, “No”, or Learning Objectives: To assess the impact of QBank
“Not Checked” (survey default response) by academic block when participation and performance as it correlates with EM
responses are averaged across all survey items. resident ITE performance.
Volume 23, Issue 1 Supplement : January 2022 S11 Western Journal of Emergency Medicine
CORD Abstracts Issue 2021
Background: Performance on the American Board a difficult and highly skilled intervention required of EM
of Emergency Medicine (ABEM) annual In-training physicians. When CFBs are not properly removed, patients
Examination (ITE) for Emergency Medicine (EM) residents are at risk for complications including infection, ulceration,
has been shown to correlate with subsequent performance on and vision loss. Only 0.19% of ED visits are related to ocular
the ABEM qualifying exam. As such, significant planning is foreign bodies, thus this important skill can be missed during
often committed to ITE preparation, both from an individual EM training.
resident and a residency program perspective. Online question Objectives: To evaluate the efficacy of an educational
banks (QBanks) represent a popular media for ITE preparation model used for teaching CFB removal by using a survey to
however, the specific impact of QBanks on ITE performance assess the comfort levels of participants before and after a
is unclear. CFB removal skill lab.
Methods: ITE and QBank performance results were Methods: This was a prospective study on an
collated over two academic years, 2018-19 and 2019-20, educational model for teaching CFB removal using a survey
from a three-year EM residency program. ITE raw scores to assess pre- and post-skill lab comfort with CFB removal
and percentile rank for training level scores were compared by medical students and PGY1-3 EM residents. The study
with performance on a QBank provided for independent included one 2-hour skill session at an ACGME-accredited
resident study, including QBank average performance score EM residency at a Level 1 Trauma Center. The study
as well as number of QBank questions completed. The evaluated the comfort levels based on year of education
Pearson correlation coefficient was used to measure the and whether or not participants had previous experience
strength of a linear association between ITE performance removing CFBs. Participants ranked their overall comfort
and QBank correlates. of removing CFBs on a scale of 1 to 10 before and after the
Results: Sixty-two sets (30 residents in 2018-19, 32 skills lab. Analysis was completed using Wilcoxon signed-
residents in 2019-20) of ITE performance data and QBank rank test on SPSS.
correlates were included. The mean number of QBank All participants (N=22) showed an increase in comfort
questions completed was 1155 with a standard deviation level with CFB removal from 3.81 to 7.09 (pYou can also read
